An older hospitalized client becomes acutely confused overnight and is pulling at lines. Which action is most appropriate?

Question

Accepted Answer

B. Assess for reversible causes such as infection, hypoxia, or medications — Delirium has an acute onset and often reflects an underlying medical cause. The nurse should assess for reversible contributors promptly.

Answer

A. Assume dementia is progressing normally

Answer

C. Teach memory games and re-evaluate next month

Answer

D. Leave the client alone to promote independence